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Illinois rates for HCPCS L4394

Replace Soft Interface Material, Foot Drop Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.63 / $10.63 / $10.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $10.63 / $16.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.44 / $43.04 / $177.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.33 / $15.72 / $15.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $21.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.40 / $24.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.26 / $24.25 / $29.99
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.88 / $26.88 / $26.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.23 / $9.11 / $20.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $10.23 / $17.72